Placenta Increta Presenting as Postabortal Uterine Mass in the First Trimester: A Case Report.

Soh, Eun Jung; Hwang, Jong Yun; Cho, Jun Sik; Lee, Dong Heon

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(4):899-905.
Published online April 1, 2006.

Placenta Increta Presenting as Postabortal Uterine Mass in the First Trimester: A Case Report.

Eun Jung Soh, Jong Yun Hwang, Jun Sik Cho, Dong Heon Lee

Department of Obstetrics and Gynecology, College of Medicine, Kangwon National University, Chunchon, Korea. obypf@kangwon.ac.kr

Abstract

Placenta increta is rare, but life-threatening complication of pregnancy characterized by invasion of placenta villi into the underlying myometrium. Placenta increta is usually diagnosed in the third trimester and is associated with significant blood loss and uterine perforation or rupture as well as an increased risk of infection. It also has been described as a complication of selective pregnancy termination and spontaneous pregnancy loss in the second trimester and rarely in the first trimester. We report a case of placenta increta which was presented as uterine mass after dilatation and curettage (D and C) due to missed abortion in the first trimester.

Key Words: Placenta increta, First trimester, Uterine mass, Dilatation and curettage